A Critical Analysis of the Evidence for the SARS-CoV-2 Origin Hypotheses

mSphere. 2023 Apr 20;8(2):e0011923. doi: 10.1128/msphere.00119-23. Epub 2023 Mar 28.

Abstract

When humans experience a new, devastating viral infection such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), significant challenges arise. How should individuals as well as societies respond to the situation? One of the primary questions concerns the origin of the SARS-CoV-2 virus that infected and was transmitted efficiently among humans, resulting in a pandemic. At first glance, the question appears straightforward to answer. However, the origin of SARS-CoV-2 has been the topic of substantial debate primarily because we do not have access to some relevant data. At least two major hypotheses have been suggested: a natural origin through zoonosis followed by sustained human-to-human spread or the introduction of a natural virus into humans from a laboratory source. Here, we summarize the scientific evidence that informs this debate to provide our fellow scientists and the public with the tools to join the discussion in a constructive and informed manner. Our goal is to dissect the evidence to make it more accessible to those interested in this important problem. The engagement of a broad representation of scientists is critical to ensure that the public and policy-makers can draw on relevant expertise in navigating this controversy.

Keywords: COVID-19; SARS-CoV-2; coronavirus; lab leak; origin; zoonosis.

Publication types

  • Editorial

MeSH terms

  • Animals
  • COVID-19* / etiology
  • COVID-19* / transmission
  • COVID-19* / virology
  • Chiroptera / virology
  • Furin / metabolism
  • Genome, Viral
  • Humans
  • Pandemics*
  • RNA Cleavage / genetics
  • SARS-CoV-2* / genetics
  • Viral Zoonoses* / etiology
  • Viral Zoonoses* / transmission
  • Viral Zoonoses* / virology

Substances

  • Furin